NPI | 1932607496 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE GRAFF Insurance & Credentialing Manager 317-376-8336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
106S00000X Behavior Technician | |
103K00000X Behavior Analyst | |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2018-01-30 |
Last Update Date | 2018-05-09 |